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* 1. Does your child currently attend an after school program?  If not, why?

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* 2. Do you feel there is a need for after school programming in Pleasant Hill?

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* 3. If available, what do you think is the area of greatest need? (1 being your first choice)

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* 4. If an after school program were available, would you be willing to pay a monthly fee?

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* 5. If after school programming were available, how many days per week would you be interested in sending your child/children?

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* 6. If available, what hours would you like to see offered?

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* 7. Please check the grades of your children you would be interested in enrolling?

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* 8. If an after school program were only available one day a week on early release Wednesdays, would you still be interested?

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* 9. Please feel free to list any additional comments/ideas/suggestions.

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